BONE-GRAFTS TO THE NOSE IN BINDERS-SYNDROME (MAXILLONASAL DYSPLASIA) - A FOLLOW-UP OF 11 PATIENTS WITH THE USE OF PROFILE ROENTGENOGRAMS

Bone grafts are used to lengthen the dorsum and elevate the tip of the nose in patients with Binder's syndrome. Disappointing long-term resu lts in some patients generally have been assumed to be a result of res orption and/or displacement of the grafts. Treatment outcome was studi ed in 11 patients with the use of serial profile roentgenograms. At 40 months, the mean values after surgery were reduction of the initial t ransplant length by 28 percent and reduction of the transplant angle b y 4 degrees. The initial nose length was increased by 1 mm, and nose t ip projection was increased by 2 mm. Although the mean changes of nose length and nose tip projection seemed small, treatment outcome varied considerably between patients. In contrast with earlier assumptions, no correlation could be found between the degree of transplant resorpt ion and/or displacement and the effect of surgery on nose length and n ose tip projection.